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1 <br /> BILL OF LADING <br /> 535 Getty Court,Suite H <br /> Benicia,CA 94510 <br /> gt lya'OIVMBNTAL SERVICES (877)748-3040 Y-Z- <br /> = <br /> Lading manifest; 87975-07 <br /> GROUP Wtetern Rcsion =CONTACT <br /> J0f3#gA7087 <br /> SHIPPER <br /> /CUSTOMER <br /> PHONE# <br /> ADDRE <br /> RSM <br /> SIX <br /> PHONE* <br /> CARRIER Y O R <br /> POINT OF C A <br /> C0NSI&WFARW1U-FYMX Ma <br /> PHONE# <br /> ADDREISM'MMM EM <br /> 12 JR <br /> CITY,STATE.ZIP <br /> A M NAtl1 M99 WASTE LIQUID (DICOT Vffn) � IH 65 <br /> i3 <br /> C <br /> Special Handling Instruction and Additional Information: <br /> �) 355672-l1 - RON AAL ORMIE WATER - STA311 QA!!5 VMS (1) SITE: 361 $SIX, 11P01 CA, SAF 135816, 11PI 666.97, .8ML PI <br /> ` t Eme en 746-3040 <br /> Placards Provided YES NO o.l 9 Phone alt t <br /> SHIPPER'S RTiFICATION:I hereby declared that the contents of thls consignment are fully end ocurately described above by proper shipping name,and are classified,packed, <br /> mer d,an abated,and are[n all respects In proper condition,for transport by highway,vessel ail according to appli le International and national government regulatlons. <br /> -(SHI P RI N R TYP M SIG A MONTH DAY + <br /> 2,4 <br /> XDAY YEAR <br /> (CA <br /> $l E MON1H Q <br /> IE N R7 R)-PAIN TY NAME c.,. <br /> x t?$US . ✓U X <br /> (CONSIGNEEIFACILITY)PRINT OR TYPE NAME <br /> SIGNATURE MOS My vF�n <br /> x - �. �' x O <br /> Form alt PSC-209- v a CONSIGNEE <br /> DEC 5 Px12:08 <br />